Bachelor's degree in Obstetrics (to qualify as an obstetrician)

Bachelor's degree in Obstetrics (to qualify as an obstetrician)

Surgical care in Obstetrics and Gynecology - CLINICA OSTETRICO-GINECOLOGICA CHIRURGICA NELLE URGENZE E NELLE EMERGENZE (2017/2018)

Course code
4S000047
Credits
3
Academic sector
MED/47 - MIDWIFERY
Language of instruction
Italian
Location
VERONA

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Teaching is organised as follows:
Activity Credits Period Academic staff
parte 1 1 2°anno 2°semestre CLO Marina Carfagna
parte 2 2 2°anno 2°semestre CLO Emanuela Cassin

Go to lesson schedule

Learning outcomes

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MM: parte 1
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At the end of the didactic course the student must have clear the concepts of urgency and emergency and be able to recognize and intervene in situations of urgencies and emergencies both obstetric and gynecological. • to describe and recognize the most frequently encountered clinical pictures of gynecological pathology. • know how to manage obstetric emergencies both on a clinical and organizational level; • Know the clinical aspects of the complications of labor, delivery and puerperium. • Know how to diagnose urgency and emergency situations in obstetrics. • Know the differential diagnostic elements applicable by the Obstetrics to define the need for the intervention of the Doctor in the individual clinical cases that have come to his observation; • Knowing how to apply the necessary emergency measures while waiting for the Doctor; • It must also be able to establish a scale of treatment priorities and to have learned the concepts of Triage and management of risk management in Obstetric and Gynecological Urgenze and Sala Parto. • Raise the student's awareness of strategies to increase the skills of all health workers, in order to reduce the negative interference in the emergency response to obstetric and gynecological emergency, both from the organization of hospital departments and from the counseling of individual operators.
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MM: parte 2
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Prevent, identify, monitor and manage potentially pathological situations that require medical intervention and practice, where necessary, the relevant measures of particular emergency through the use of the means available and of which it is competent. Evaluate the clinical manifestations connected to gynecological and obstetric diseases. To evaluate the clinical manifestations connected to the immediate, intermediate and late physiological puerperium in hospitalization. To evaluate the clinical manifestations connected to the immediate, intermediate and late physiological and pathological puerperium in hospitalization .

Syllabus

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MM: parte 1
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■ Urgencies and emergencies: cultural model according to CRM (Crisis Resource Management) to minimize the risk of error, integrating the training of technical skills (know-how) with non-technical ones (team management, leadership, communication and error prevention) . Clinical risk in urgency and emergency ■ Obstetrical and gynecological triage and new care management strategies ■ THE D.E.A. : emergency department and acceptance ■ Triage in obstetrics: the legislation The system of triage organizational tool ■ Priority codes ■ Clinical documentation: card, procedures and triage protocols ■ Professional responsibilities of the triagista midwife ■ Obstetrical Triage aimed at the priorities that should be established in the execution of a Cesarean Cut: Lucas Classification (J R Soc Med 2000): Obstetric emergencies: ■ Emergency Training Team: basic characteristics of assistance and communication in the emergency and in the Delivery Room ■ Standardize communication: SBAR Situational Briefing Model ■ Clinical mnemonics standards to improve clinical communication ■ Planning and organization of work in the delivery room ■ The documentation of the obstetric emergency in the medical record ■ Methods of quality improvement in the obstetric emergency (Quality Improvement Process); the midwife's responsibility Urgent and maternal-fetal emergencies ■ The prolapse of funicular clinical aspects, diagnosis and management ■ Dysplasia of the shoulders, clinical aspects, diagnosis and management Urgencies and cardiotocographic emergencies in labor ■ Dilatant period: clinical significance of non-normal cardiotocographic parameters, ■ Expulsive period: pathological cardiotocographic patterns; ■ Rare CTG patterns correlated with a high hypoxic risk ■ Criteria for reading and interpretation
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MM: parte 2
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The urgencies and surgical emergencies during pregnancy The classifications of TC sec. Lucas Preeclampsia and eclampsia in pregnancy and puerperium Pueperal genital hematoma Gynecological haemorrhagic diseases Sepsis in pregnancy and pueperio The state of shock: septic, hypovolaemic Disseminated intravasal coag Maternal thromboembolic disorders.

Assessment methods and criteria

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MM: parte 1
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The exam will take place in writing and will consist of thirty closed and open questions. Duration of the test 50 minutes
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MM: parte 2
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oral exam

Reference books
Activity Author Title Publisher Year ISBN Note
parte 1 Docente del Corso Carfagna Marina Appunti delle lezioni. Normativa e riferimenti indicati durante le lezioni. Materiale messo a disposizione del docente. 2019
parte 1 Danti - Di Tommaso - Maffetti - Carfagna Cardiotocografia Guida Pratica Piccin-Nuova Libraria 2010
parte 1 Edwin Chandraharan Handbook of ctg interpretation: from patterns to physiology Cambridge Medicine 2017
parte 1 Guana M. et altri, La disciplina Ostetrica teoria pratica e organizzazione della professione (Edizione 1) Mac Graw-Hill, Milano 2006
parte 1 Daniele Rodriguez Professione Ostetrica/o Aspetti di Medicina legale e Responsabilità. (Edizione 2) SEE-FIRENZE 2008
parte 1 Ministero della Salute- Istituto Superiore di Sanità SNLG-ISS Linee Guida N. 22 Taglio cesareo: una scelta appropriata e consapevole (Edizione 1) Ministero della Salute- Istituto Superiore di Sanità 2012
parte 1 A. Ragusa, C. Crescini Urgenze ed emergenze in sala parto II edizione (Edizione 2) Piccin-Nuova Libraria 2016
parte 2 Bolis Manuale di Ginecologia e Ostetricia (Edizione 2) EdiSES 2017 9788879599269
parte 2 A. Ragusa, C. Crescini Urgenze ed emergenze in sala parto II edizione (Edizione 2) Piccin-Nuova Libraria 2016

STUDENT MODULE EVALUATION - 2017/2018






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